Provider Demographics
NPI:1760791099
Name:FUTURE EXPECTATIONS ADULT DAY HEALTH CARE LLC
Entity Type:Organization
Organization Name:FUTURE EXPECTATIONS ADULT DAY HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JOSHLAN
Authorized Official - Middle Name:SHEANTRELL
Authorized Official - Last Name:RAYMO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:318-648-2580
Mailing Address - Street 1:600 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:WINNFIELD
Mailing Address - State:LA
Mailing Address - Zip Code:71483-3227
Mailing Address - Country:US
Mailing Address - Phone:318-209-0204
Mailing Address - Fax:
Practice Address - Street 1:1205 W COURT ST
Practice Address - Street 2:
Practice Address - City:WINNFIELD
Practice Address - State:LA
Practice Address - Zip Code:71483-2645
Practice Address - Country:US
Practice Address - Phone:318-648-2580
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-05
Last Update Date:2010-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAADHC 5062251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health